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Learning curve and surgical outcome for single-port access total laparoscopic hysterectomy in 100 consecutive cases.

Authors
 Paek J.  ;  Kim S.-W.  ;  Lee S.-H.  ;  Lee M.  ;  Yim G.-W.  ;  Nam E.-J.  ;  Kim Y.-T. 
Citation
 GYNECOLOGIC AND OBSTETRIC INVESTIGATION, Vol.72(4) : 227-233, 2011 
Journal Title
GYNECOLOGIC AND OBSTETRIC INVESTIGATION
ISSN
 0378-7346 
Issue Date
2011
MeSH
Adult ; Aged ; Female ; Hemoglobins/metabolism ; Humans ; Hysterectomy/methods* ; Laparoscopy/methods* ; Learning Curve* ; Middle Aged ; Regression Analysis ; Retrospective Studies ; Time Factors ; Treatment Outcome
Keywords
Laparoscopic hysterectomy ; Learning curve ; Single-port access
Abstract
AIMS: To define the learning curve for single-port access (SPA) total laparoscopic hysterectomy (TLH) and evaluate the surgical outcomes.

METHODS: Patient demographics and segmental operating times of all 100 patients who underwent SPA-TLH by a single surgeon were analyzed. Patients were arranged in order based on surgery date.

RESULTS: 100 patients underwent SPA-TLH. There was no conversion to conventional laparoscopy or laparotomy. The median time until the removal of a specimen (T(R)) was 45 min and the median time for closure of the vaginal cuff (T(C)) was 18 min. The median total operating time from skin opening to closure (T(O)) was 80 min. T(R), T(C), and T(O) decreased significantly over the study period. The T(C) decreased significantly from the first 20 cases to the next 20 (p = 0.028) and the T(O) from the second 20 cases to the next 20 (p = 0.029).

CONCLUSIONS: Proficiency for SPA-TLH was achieved after 40 cases. Operating time and postoperative hemoglobin drop decreased with experience, without increasing complication.
Full Text
http://www.karger.com/Article/FullText/324384
DOI
10.1159/000324384
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sang Wun(김상운) ORCID logo https://orcid.org/0000-0002-8342-8701
Kim, Young Tae(김영태) ORCID logo https://orcid.org/0000-0002-7347-1052
Nam, Eun Ji(남은지) ORCID logo https://orcid.org/0000-0003-0189-3560
Paek, Ji Heum(백지흠)
Lee, Maria(이마리아)
Lee, San Hui(이산희)
Yim, Ga Won(임가원)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95221
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